“obesity death rates |obesity as a public health issue a look at solutions”

To screen for overweight and obesity, doctors measure BMI using calculations that depend on whether you are a child or an adult. After reading the information below, talk to your doctor or your child’s doctor to determine if you or your child has a high or increasing BMI.
Two of the biggest problems that researchers must cope with are reverse causation-low body weight is often the result of chronic disease, rather than being a cause of it-and the effect of smoking. People with BMIs below 25 are a mix of healthy individuals and those who have lost weight due to cancer or some other disease that may or may not have been diagnosed. Smoking also confuses the issue because smokers tend to weigh less than their nonsmoking counterparts. When reverse causation and the adverse effects of smoking aren’t fully accounted for, death rates among lean individuals will be inflated and those among overweight and obese individuals will be diminished. That was a problem with a widely reported study based on data from NHANES, which estimated relatively low numbers of excess obesity-related deaths. (46) A careful critique of using the NHANES data to estimate mortality demonstrated that correcting for statistical biases significantly increased the estimate of excess deaths attributable to obesity. (47)
This study will see if personalized feedback about worksite food purchases, daily calorie goals, healthy eating, and financial incentives for healthy food purchases can help employees at Massachusetts General Hospital (MGH) prevent weight gain, reduce cardiovascular risk factors, and make healthier long-term food choices. If successful, the approach could be used by people at other worksites and food retailers to help fight the obesity epidemic. To participate, you must be an MGH employee who is 21 years or older and uses the hospital cafeteria. Visit Promoting Employee Health Through the Worksite Food Environment (ChooseWell 365) for more information and to learn how to participate in the study.
Davidson says with the Atkins diet, especially in the induction phase, patients on diabetes medications can experience low blood sugar and diuresis (they may urinate more). While he generally supports very carb-restrictive diets, he says moderate programs are better for many seniors.
I suffer with Crohn’s & im trying to lose 30 lbs… I’m 5’4 almost 50 & always fluctuating between 180-195lbs. I do your chair to chair running/walking excercise but may need supplements for energy. I do take iron….But not motivated feel sluggish with low energy….Any advice is appreciated.
Obesity also affects cognition, which includes the way we process information, memory, comprehension, problem solving and decisions. These functions are known to deteriorate with age and studies show that they deteriorate more rapidly in the population affected by obesity. Since proper cognition help the elderly live fuller and more independent lives, this effect of obesity is more relevant than ever with older age.
To be sure, many of Big Food’s most popular products are loaded with appalling amounts of fat and sugar and other problem carbs (as well as salt), and the plentitude of these ingredients, exacerbated by large portion sizes, has clearly helped foment the obesity crisis. It’s hard to find anyone anywhere who disagrees. Junk food is bad for you because it’s full of fat and problem carbs. But will switching to wholesome foods free us from this scourge? It could in theory, but in practice, it’s hard to see how. Even putting aside for a moment the serious questions about whether wholesome foods could be made accessible to the obese public, and whether the obese would be willing to eat them, we have a more immediate stumbling block: many of the foods served up and even glorified by the wholesome-food movement are themselves chock full of fat and problem carbs.
Despite the positive effect of bariatric surgery on weight and obesity health problems, it is not the right solution for everyone.  In addition to preparing for and going through with surgery, big sacrifices must be made in life after weight loss surgery for patients to be successful.
Jump up ^ Keith SW, Redden DT, Katzmarzyk PT, Boggiano MM, Hanlon EC, Benca RM, Ruden D, Pietrobelli A, Barger JL, Fontaine KR, Wang C, Aronne LJ, Wright SM, Baskin M, Dhurandhar NV, Lijoi MC, Grilo CM, DeLuca M, Westfall AO, Allison DB (2006). “Putative contributors to the secular increase in obesity: Exploring the roads less traveled”. Int J Obes (Lond) (Review). 30 (11): 1585–94. doi:10.1038/sj.ijo.0803326. PMID 16801930.
Adding to the problem is the fact that baby boomers weren’t raised with deprivation. To the contrary, an abundance of food – frozen food, canned food, soft drinks and snack food – filled many boomers’ childhood kitchens. The generation embraced fast food culture in their teens and 20s. The question for many of them now, in their 50s and 60s, is why they’re still eating like kids.
Strazzullo P, DElia L, Cairella G, Garbagnati F, Cappuccio FP, Scalfi L. Excess body weight and incidence of stroke: meta-analysis of prospective studies with 2 million participants.Stroke. 2010; 41:e41826.
Women in the baby boomer generation are somewhat more likely than men of the same age to feel that they are overweight, and less likely to feel that their weight is “about right.” Fifty-nine percent of baby women say they are overweight, compared with 48% of baby boomer men. This is particularly interesting given that according to CDC estimates, men are slightly more likely to be overweight (67%) than women (62%).
3. Work with an expert in your area to help you find care. A Place for Mom offers free expert Senior Living Advisors. These Advisors are compassionate and can answer a wide range of questions about elder care for your unique situation. They can help be your personal guide through this challenging time.
Jump up ^ Malik VS, Popkin BM, Bray GA, Després JP, Willett WC, Hu FB (November 2010). “Sugar-sweetened beverages and risk of metabolic syndrome and type 2 diabetes: a meta-analysis”. Diabetes Care (Meta-analysis, Review). 33 (11): 2477–83. doi:10.2337/dc10-1079. PMC 2963518 . PMID 20693348.
37. Launer LJ, Harris T, Rumpel C, Madans J: Body mass index, weight change, and risk of mobility disability in middle-aged and older women: the Epidemiologic Follow-Up Study of NHANES I. JAMA 1994; 271: 1093– 1098 [PubMed]
^ Jump up to: a b Bleich S, Cutler D, Murray C, Adams A (2008). “Why is the developed world obese?”. Annu Rev Public Health (Research Support). 29: 273–95. doi:10.1146/annurev.publhealth.29.020907.090954. PMID 18173389.
The principal goal of the fat acceptance movement is to decrease discrimination against people who are overweight and obese.[219][220] However, some in the movement are also attempting to challenge the established relationship between obesity and negative health outcomes.[221]
Jump up ^ Tjepkema M (2005-07-06). “Measured Obesity–Adult obesity in Canada: Measured height and weight”. Nutrition: Findings from the Canadian Community Health Survey. Ottawa, Ontario: Statistics Canada.
If current trends continue, Australia’s Generation X will overtake Baby Boomers for poor health, including rates of obesity and diabetes, which could have huge implications for healthcare and the workforce. Researchers compared the health status of Baby Boomers (born from 1946-1965) and Generation X (1966-1980) at the same age range of 25-44 years and found that Generation X had significantly poorer levels of self-rated health, and higher levels of obesity and diabetes compared with Boomers, with no real difference in physical activity between the two groups.
Cancer. Obesity has been linked to cancer of the colon in men and women, cancer of the rectum and prostate in men, and cancer of the gallbladder and uterus in women. Obesity may also be associated with breast cancer, particularly in postmenopausal women. Fat tissue is important in the production of estrogen, and prolonged exposure to high levels of estrogen increases the risk of breast cancer.
Melvin Delgado is codirector of the Center for Addictions Research and Services, chair of macro-practice, and professor of social work at the Boston University School of Social Work. He brings almost forty years of practice, research, and scholarship focused on Puerto Rican and other Latino groups in the United States. Bilingual and bicultural, he has focused his professional and academic career on developing urban-based outreach and service delivery models that are culturally competent, stressing participatory democratic principles, and tapping cultural strengths and assets. He is the author of more than twenty books, including Latino Small Businesses and the American Dream: Community Social Work Practice and Economic and Social Development and Social Work Practice with Latinos: A Cultural Assets Paradigm and Social Work Practice with Immigrant and Refugee Youth in the United States.
Some research shows that obese people are less likely to be hired for a job and are less likely to be promoted.[196] Obese people are also paid less than their non-obese counterparts for an equivalent job; obese women on average make 6% less and obese men make 3% less.[212]
Mind-body therapies — such as acupuncture, mindfulness meditation and yoga — may complement other obesity treatments. However, these therapies generally haven’t been well-studied in the treatment of weight loss. Talk to your doctor if you’re interested in adding a mind-body therapy to your treatment.
Fruits are a delicious source of natural sugars, antioxidants, vitamins, minerals and fiber. Keeping fruit on hand as a go to snack and dessert is a healthy and low calorie way to satisfy a sweet tooth. Be sure to ask your doctor about which fruits may interact with any medication.

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“Baby boomers who are not obese and younger generations are going to have to foot the trillions of dollars in health care costs for the millions of unhealthy boomers,” Slome explains.  “Healthy boomers approaching retirement have very little time left to develop a plan so they are not left depending on already strapped government programs or forced to deplete whatever retirement savings they managed to squirrel away.”

Vagal nerve blockade is another treatment for obesity. It involves implanting a device under the skin of the abdomen that sends intermittent electrical pulses to the abdominal vagus nerve, which tells the brain when the stomach feels empty or full. This new technology received FDA approval in 2014 for use by adults who have not been able to lose weight with a weight-loss program and who have a BMI of 35 to 45 with at least one obesity-related condition, such as type 2 diabetes.

Any individual plan listed on our site carries the same costs and offers the exact same benefits regardless of whether you purchase it from our site, a government website, or your local insurance broker.

The correlation between social class and BMI varies globally. A review in 1989 found that in developed countries women of a high social class were less likely to be obese. No significant differences were seen among men of different social classes. In the developing world, women, men, and children from high social classes had greater rates of obesity.[133] An update of this review carried out in 2007 found the same relationships, but they were weaker. The decrease in strength of correlation was felt to be due to the effects of globalization.[134] Among developed countries, levels of adult obesity, and percentage of teenage children who are overweight, are correlated with income inequality. A similar relationship is seen among US states: more adults, even in higher social classes, are obese in more unequal states.[135]

Overweight and obesity are known to increase blood pressure. High blood pressure is the leading cause of strokes. Excess weight also increases your chances of developing other problems linked to strokes, including high cholesterol, high blood sugar, and heart disease.

Several types of cancer are associated with being overweight. In women, these include cancer of the uterus, gallbladder, cervix, ovary, breast, and colon. Overweight men are at higher risk for developing colorectal cancer and prostate cancer. For some types of cancer, such as colon or breast, it is not clear whether the increased risk is due to the extra weight or to a high-fat, high-calorie diet.

Acupressure and acupuncture can also suppress food cravings. Visualization and meditation can create and reinforce a positive self-image that enhances the patient’s determination to lose weight. By improving physical strength, mental concentration, and emotional serenity, yoga can provide the same benefits. Also, patients who play soft, slow music during meals often find that they eat less food but enjoy it more.

Other companies have embraced the logo system as a way to tout healthy offerings. Soprole, a Chilean dairy company, produced a commercial that features child newscasters explaining the label system in a way their peers can understand.

The overall goal for older adults who are obese is to help them make permanent lifestyle changes such as dietary modifications, increased exercise, and implementation of community supports. However, the older adult population presents with unique challenges that may prevent them from being able participate in certain physical activities preventing them from being able to lose weight.

Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler’s educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.

“He said this was the most important time of my life, and he needed to be there for it,” she says. “I told him that it is just a wedding and weddings can be rescheduled.” Her father’s response: “I’m fine, honey.”

Gaining a few pounds during the year may not seem like a big deal. But these pounds can add up over time. How can you tell if your weight could increase your chances of developing health problems? Knowing two numbers may help you understand your risk: your body mass index (BMI) score and your waist size in inches.

An enormous amount of media space has been dedicated to promoting the notion that all processed food, and only processed food, is making us sickly and overweight. In this narrative, the food-industrial complex—particularly the fast-food industry—has turned all the powers of food-processing science loose on engineering its offerings to addict us to fat, sugar, and salt, causing or at least heavily contributing to the obesity crisis. The wares of these pimps and pushers, we are told, are to be universally shunned.

Type 2 diabetes is the most common type of diabetes. Family history and genes play a large role in type 2 diabetes. Other risk factors include a low activity level, poor diet, and excess body weight around the waist. In the United States, type 2 diabetes is more common among blacks, Latinos, and American Indians than among whites.4

A great way to test this is to talk while you workout – if you can have a conversation easily, then you need to work harder. If you’re struggling for breath, it’s time to slow down. You can combine aerobic exercise with water-based exercise too!

A condition in women characterized by irregular or no menstrual acne, obesity, and excess hair growth. PCOS is a disorder of chronically abnormal ovarian function and hyperandrogenism (abnormally elevated androgen levels).

In fact, McDonald’s has quietly been making healthy changes for years, shrinking portion sizes, reducing some fats, trimming average salt content by more than 10 percent in the past couple of years alone, and adding fruits, vegetables, low-fat dairy, and oatmeal to its menu. In May, the chain dropped its Angus third-pounders and announced a new line of quarter-pound burgers, to be served on buns containing whole grains. Outside the core fast-food customer base, Americans are becoming more health-conscious. Public backlash against fast food could lead to regulatory efforts, and in any case, the fast-food industry has every incentive to maintain broad appeal. “We think a lot about how we can bring nutritionally balanced meals that include enough protein, along with the tastes and satisfaction that have an appetite-tiding effect,” said Barbara Booth, the company’s director of sensory science.

Both the characteristics of obesity and the way it affects seniors can be different when compared to how obesity impacts younger adults. This is very important to know, as it may determine if and how obesity should be analyzed and treated in seniors.

In a June 5 speech to the Commonwealth Club in San Francisco, Centers for Disease Control and Prevention Director Julie Gerberding reported that, in terms of controllable health factors, obesity is closing in on tobacco use as the leading cause of death in the United States, and needs to become a major priority for the U.S. healthcare system. Aggregated results from Gallup’s annual Health and Healthcare polls from 2000 to 2002*, reveal that obesity is a particularly serious problem among the “baby boomer” generation and those slightly older.

Sticking to your treatment plan. Changing a lifestyle you may have lived with for many years can be difficult. Be honest with your doctor, therapist or other health care providers if you find your activity or eating goals slipping. You can work together to come up with new ideas or new approaches.

Although there is no specific treatment for fatty liver disease, patients are generally advised to lose weight, eat a healthy diet, increase physical activity, and avoid drinking alcohol. If you have fatty liver disease, lowering your body weight to a healthy range may improve liver tests and reverse the disease to some extent.

These changes often result in appetite reduction, increased satiety and a decline in the natural appreciation of food. Collectively, these conditions contribute to a condition referred to as the “anorexia of aging.” To further exacerbate the problem, older adults show a reduced ability to adapt to periods of under- or overeating. They gain or lose weight quickly, and do not easily return to their original weight following such periods. This makes the elderly population much more susceptible to unintended (and lasting) changes in weight.

In this editorial series we’ll explore the role of business in supporting access to education and opportunities, and consider the best way to prepare a generation of leaders who understand the importance of sustainable development.

It’s important to ensure that your senior nutrition is well-rounded, and that you understand when weight loss might be appropriate, and when weight loss might indicate a decline in health for your elderly loved one.

U.S. life expectancy increased from 68 years in 1950 to 79 years in 2013. In 1990, there was a seven-year gap in life expectancy between men and women. By 2013, this gap had narrowed to less than five years (76.4 years versus 81.2 years) reflecting declines in smoking-related deaths among men. If current trends continue, men’s life expectancy could approach women’s within a few decades.

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Phentermine (Fastin, Adipex P) — the other half of fen/phen — suppresses appetite by causing a release of norepinephrine in the body. Phentermine alone is still available for treatment of obesity but only on a short-term basis (a few weeks). The common side effects of phentermine include headache, insomnia, irritability, and nervousness. Fenfluramine (the fen of fen/phen) and dexfenfluramine (Redux) suppress appetite mainly by increasing release of serotonin by the cells. Both fenfluramine and dexfenfluramine were withdrawn from the market in September 1997 because of association of these two medications with pulmonary hypertension (a rare but serious disease of the arteries in the lungs) and association of fen/phen with damage to the heart valves. Since the withdrawal of fenfluramine, some have suggested combining phentermine with fluoxetine (Prozac), a combination that has been referred to as phen/pro. However, no clinical trials have been conducted to confirm the safety and effectiveness of this combination. Therefore, this combination is not an accepted treatment for obesity.
“The epidemic of obesity is so clear and harmful to the whole population, including the political elite, and no country is succeeding to control it without regulation of the food environment,” he said. “Doing nothing is no longer an option.”
Jump up ^ Zametkin AJ, Zoon CK, Klein HW, Munson S (February 2004). “Psychiatric aspects of child and adolescent obesity: a review of the past 10 years”. J Am Acad Child Adolesc Psychiatry (Review). 43 (2): 134–50. doi:10.1097/00004583-200402000-00008. PMID 14726719.
Other companies have embraced the logo system as a way to tout healthy offerings. Soprole, a Chilean dairy company, produced a commercial that features child newscasters explaining the label system in a way their peers can understand.
Harrigan M, Cartmel B, Loftfield E, et al. Randomized trial comparing telephone versus in-person weight loss counseling on body composition and circulating biomarkers in women treated for breast cancer: The Lifestyle, Exercise, and Nutrition (LEAN) Study. Journal of Clinical Oncology 2016; 34(7):669-676.
“It’s typical for older adults to have less of an appetite as they age,” says Moreno. This often occurs, he says, because people become more sedentary and it becomes harder to stimulate hunger. Moreno suggests that a healthy diet for seniors should consist of smaller more frequent meals.
Your weight is the result of many factors. These factors include environment, family history, and genetics, metabolism (the way your body changes food and oxygen into energy), behavior or habits, and more. You can’t change some factors, such as family history. However, you can change other factors, such as your lifestyle habits.
The lack of response may also reflect a more general lack of awareness. In a 2014 letter to then newly appointed Surgeon General Vivek Murthy, the Obesity Association, a leading obesity educational and research group, wrote that “many individuals are not aware of the scope of the problem. We agree that more needs to be done to address obesity at the community level by providing more guidance and resources, so people have a better understanding of where and how to lead healthier lives.”
The healthy BMI range varies with the age and sex of the child. Obesity in children and adolescents is defined as a BMI greater than the 95th percentile.[23] The reference data that these percentiles are based on is from 1963 to 1994 and thus has not been affected by the recent increases in rates of obesity.[24] Childhood obesity has reached epidemic proportions in the 21st century, with rising rates in both the developed and the developing world. Rates of obesity in Canadian boys have increased from 11% in the 1980s to over 30% in the 1990s, while during this same time period rates increased from 4 to 14% in Brazilian children.[227]
A constellation of conditions that place people at high risk for coronary artery disease. These conditions include type 2 diabetes, obesity, high blood pressure, and a poor lipid profile with elevated LDL (“bad”) cholesterol, low HDL (“good”) cholesterol, elevated triglycerides. All of these conditions are associated with high blood insulin levels. The fundamental defect in the metabolic syndrome is insulin resistance in both adipose tissue and muscle.
Waist circumference is another widely used measurement to determine abdominal fat content. An excess of abdominal fat, when out of proportion to total body fat, is considered a predictor of risk factors related to obesity. Men with a waist measurement exceeding 40 inches are considered at risk. Women are at risk with a waist measurement of 35 inches or greater.
The body mass index (BMI) is commonly used to determine whether someone is affected by excess weight or obesity. This is a measurement that is calculated using a person’s weight and height. As the BMI increases, the likelihood of being affected by obesity increases as well. Physicians are required to calculate and record this number in their patient’s chart. As a screening tool, it helps them identify weight issues that need to be addressed. Nevertheless, there are instances where this marker is not completely accurate. This can happen in the young and old alike but for different reasons. As it doesn’t differentiate between the type of excess body weight, it cannot determine if the excess weight consists of muscle or fat.
Shah K, Armamento-Villareal R, Parimi N, Chode S, Sinacore DR, Hilton TN, Napoli N, Qualls C, Villareal DT. Exercise training in obese older adults prevents increase in bone turnover and attenuates decrease in hip bone mineral density induced by weight loss despite decline in bone-active hormones. J Bone Miner Res. 2011;26:2851–2859. [PMC free article] [PubMed]
The prevalence of obesity is increasing in all age groups. According to a 2001 census and the projection made by the United Nations (1996 revision), the elderly constitute 7.5% of the Indian population, and by all indications 21% of the Indian population will be 60 years and above by 2050. Medical science discoveries, improved lifestyle, and social conditions during the past few decades have increased the life span of man. Life expectancy at birth in developed countries is over 70 years. Questions have risen about the relation between obesity in old age and total or disease-specific mortality, the definition of obesity in the elderly, its clinical relevance, and about the need for its treatment. Information about changes in body composition and fat distribution among the elderly will help us better understand the relationships between obesity and morbidity in the elderly.
Obesity is measured by various means, but the most common methods used are Body Mass Index (BMI) and Waist Circumference. There is no perfect method to measuring obesity, however these two indicators are most commonly used by clinicians as a tool to diagnose weight.
White fat tissue can be found around the kidneys and under the skin in the buttocks, thighs, and abdomen. This fat type stores energy, makes hormone  that control the way the body regulates urges to eat or stop eating, and makes inflammatory  substances that can lead to complications.
After an initial visit the doctor, he recommends that his patients, possibly with assistance from family members, weigh themselves twice weekly and keep an accurate “food diary.” “Most diagnostic work occurs in your history taking,” he explains. Such a diary, says the doctor, will show an accurate picture of a patient’s caloric intake. “It’s important to see, in that history taking, how many calories they’re actually burning.” Some important questions Fabius and other practitioners ask as they’re reviewing a patient’s caloric record keeping are: Is the patient taking in enough calories? If so, is the patient still losing weight? Is there an appetite? “If a patient is meeting or exceeding their caloric needs,” says Fabius, “that’s going to make me suspect hyperthyroidism or a malabsorption syndrome.”
Of course, if you don’t have a consistent weight training regimen, you’ll want to start slowly and lift light weights; this will give your body time to adapt without placing too much strain on your muscles or joints and help you avoid injury, says Huizenga. However, don’t get too comfortable with an easy resistance-training program. It is important to aim to gradually increase the amount of weight you lift. “It’s critical that significant resistance exercise be incorporated into any fat loss plan over age 60.” Once you can do 10 to 12 reps with, say, a 5-pound dumbbell and feel like you could keep going, it’s time to upgrade to an 8-pound weight, and so forth. “You know you’re lifting the right amount of weight if you can just barely make it to the end of your repetitions before needing to rest,” he says.
Excess food portions. Americans are surrounded by huge food portions in restaurants, fast food outlets, gas stations, movie theaters, supermarkets, and even home. Eating large portions means too much energy IN. Over time, this will cause weight gain if it isn’t balanced with physical activity.
Obesity is known to cause heart disease, stroke, diabetes and certain cancers. Developing any of these illnesses and diseases can have debilitating results, including loss of employment, inability to cover medical costs and care, and disability. Savings can be wiped out, causing tremendous financial hardships — at a time when unemployment is at an all time high. And, to compound the problem, many Americans are living without health insurance, which is a huge financial risk in and of itself.
Obesity can influence various aspects of reproduction, from sexual activity to conception. Among women, the association between obesity and infertility, primarily ovulatory infertility, is represented by a classic U-shaped curve. In the Nurses’ Health Study, infertility was lowest in women with BMIs between 20 and 24, and increased with lower and higher BMIs. (20) This study suggests that 25 percent of ovulatory infertility in the United States may be attributable to obesity. During pregnancy, obesity increases the risk of early and late miscarriage, gestational diabetes, preeclampsia, and complications during labor and delivery. (21) It also slightly increases the chances of bearing a child with congenital anomalies. (22) One small randomized trial suggests that modest weight loss improves fertility in obese women. (23)
At an individual level, a combination of excessive food energy intake and a lack of physical activity is thought to explain most cases of obesity.[81] A limited number of cases are due primarily to genetics, medical reasons, or psychiatric illness.[9] In contrast, increasing rates of obesity at a societal level are felt to be due to an easily accessible and palatable diet,[82] increased reliance on cars, and mechanized manufacturing.[83][84]
Various efforts have been made to redesign bodegas to emphasize healthier choices. I learned that one retooled bodega was nearby, and dropped in. It was cleaner and brighter than the others I’d seen, and a large produce case was near the entrance, brimming with an impressive selection of fresh-looking produce. The candy and other junky snack foods were relegated to a small set of shelves closer to the more dimly lit rear of the store. But I couldn’t help noticing that unlike most of the other bodegas I’d been to, this one was empty, except for me and a lone employee. I hung around, eventually buying a few items to assuage the employee’s growing suspicion. Finally, a young woman came in, made a beeline for the junk-food shelves, grabbed a pack of cupcakes, paid, and left.
Cardiovascular disease, thromboembolism, cholecystitis, cholelithiasis, cholorectal cancer, abnormal GI transit, poor wound healing, atelectasis, hepatic steatosis and fibrosis, increased risk of vision loss. 
But that trend has leveled off since 2000, as the study by Freedman’s team showed. “A new pattern has emerged by age,” Freedman explained, with rising disability levels among those nearing retirement age (ages 55 to 64) and flat trends for those ages 65 to 84.
An important determinant of body-fat mass is the relationship between energy intake and expenditure. Obesity occurs when a person consumes more calories than she/he burns. We need calories to sustain life and have the energy be active; yet to maintain a desirable weight, we need to balance the amount of  energy we ingest in the form of food with the energy we expend (National Institutes of Health [NIH]), 2006). Weight gain occurs when the balance is tipped and we take in more calories than we burn. Most studies indicate that how much we eat does not decline with advancing age (Gary, Hunt, VanderJagt, & Vellas, 1992). Therefore it is likely that a decrease in energy expenditure, particularly in the 50- to 65-year-old age group, contributes to the increase in body fat as we age. In those 65 years of age and older, hormonal changes that occur during aging may cause the accumulation of fat. Aging is associated with a decrease in growth hormone secretions, reduced responsiveness to thyroid hormone, decline in serum testosterone, and resistance to leptin (Corpas, Harman, & Blackman, 1993). Resistance to leptin could cause a decreased ability to regulate appetite downward (Villareal et al., 2005). Genetic, environmental and social, as well as several other factors can all contribute to obesity. These factors will be discussed below.
Jump up ^ Cawley J, Meyerhoefer C (January 2012). “The medical care costs of obesity: An instrumental variables approach”. Journal of Health Economics. 31 (1): 219–30. doi:10.1016/j.jhealeco.2011.10.003. PMID 22094013.
Every time your heart beats, it pumps blood through your arteries to the rest of your body. Blood pressure is how hard your blood pushes against the walls of your arteries. High blood pressure (hypertension) usually has no symptoms, but it may cause serious problems, such as heart disease, stroke, and kidney failure.
The new NCI study showed a 20% to 40% increase in the risk of death for healthy people with no history of smoking even if they were only overweight at age 50. If they were obese, they were two to three times as likely to die during the study’s 10-year follow-up.
Jump up ^ Chiolero A, Faeh D, Paccaud F, Cornuz J (1 April 2008). “Consequences of smoking for body weight, body fat distribution, and insulin resistance”. Am. J. Clin. Nutr. (Review). 87 (4): 801–09. doi:10.1093/ajcn/87.4.801. PMID 18400700.
However, not all was bleak for the boomers: They are less likely to smoke cigarettes than their parents, and were less likely to have emphysema or a heart attack, the study — which was published Feb. 4 in JAMA Internal Medicine — found.
Whether you’re at risk of becoming obese, currently overweight or at a healthy weight, you can take steps to prevent unhealthy weight gain and related health problems. Not surprisingly, the steps to prevent weight gain are the same as the steps to lose weight: daily exercise, a healthy diet, and a long-term commitment to watch what you eat and drink.
Obesity traditionally has been defined as a weight at least 20% above the weight corresponding to the lowest death rate for individuals of a specific height, gender, and age (ideal weight). Twenty to forty percent over ideal weight is considered mildly obese; 40-100% over ideal weight is considered moderately obese; and 100% over ideal weight is considered severely, or morbidly, obese. More recent guidelines for obesity use a measurement called BMI (body mass index) which is the individual’s weight multiplied by 703 and then divided by twice the height in inches. BMI of 25.9-29 is considered overweight; BMI over 30 is considered obese. Measurements and comparisons of waist and hip circumference can also provide some information regarding risk factors associated with weight. The higher the ratio, the greater the chance for weight-associated complications. Calipers can be used to measure skin-fold thickness to determine whether tissue is muscle (lean) or adipose tissue (fat).
The study of the effect of infectious agents on metabolism is still in its early stages. Gut flora has been shown to differ between lean and obese humans. There is an indication that gut flora in obese and lean individuals can affect the metabolic potential. This apparent alteration of the metabolic potential is believed to confer a greater capacity to harvest energy contributing to obesity. Whether these differences are the direct cause or the result of obesity has yet to be determined unequivocally.[146]
Treatment for sleep apnea usually includes the use of mechanical ventilation devices to keep the airway open by delivering continuous positive airway pressure (CPAP), and bilevel positive airway pressure (BiPAP).

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Texas law prohibits hospitals from practicing medicine. The physicians on the Methodist Health System medical staff are independent practitioners who are not employees or agents of Methodist Dallas Medical Center, Methodist Health System, or any of its affiliated hospitals.
33. Mathey MF, Siebelink E, de Graaf C, et al. Flavor enhancement of food improves dietary intake and nutritional status of elderly nursing home residents. J Gerontol A Biol Sci Med Sci. 2001;56(4):M200–M205.
Quick weight-loss methods do not lead to lasting results. Relying on diet aids like drinks, prepackaged foods or pills don’t work over the long term. No matter how much weight you wish to lose, modest goals and a slow pace will increase your chances of losing the weight and keeping it off.
Updated by: Laura J. Martin, MD, MPH, ABIM Board Certified in Internal Medicine and Hospice and Palliative Medicine, Atlanta, GA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
Obesity may increase the risk of PCOS, but the effect is modest. However, a history of weight gain often precedes the development of the clinical features of PCOS, and following a healthy lifestyle has been shown to reduce body weight, abdominal fat, reduce testoste­rone, improve insulin resistance, and decrease hirsutism in women with PCOS.F
Data Sources: A PubMed search was completed in Clinical Queries. Key terms: unintentional, involuntary, weight loss, geriatric, elderly, appetite stimulants, cachexia/drug therapy, and nutrition. The search included meta-analyses, randomized controlled trials, clinical trials, and reviews. Also searched were Essential Evidence Plus, the Agency for Healthcare Research and Quality evidence reports, Clinical Evidence, Google Scholar, and the Cochrane database. References from those sources were also searched. Search dates: January 2012 and March 2014.
What makes Sacred Heart Senior Living so different, comfortable and easy isn’t just one thing, it’s every little thing. Our difference is the people, the atmosphere, the personal touch, the services and the peace of mind.
The chief goal for obese diabetic persons is to avoid the common cardiovascular sequelae (Wilson & Kannel, 2007). The effect of sedentary behavior, particularly television watching, in relation to risk of type 2 diabetes was studied by a group of researchers who followed a cohort of subjects from the Nurses’ Health Study (Hu, Li, Colditz, Willett, & Manson, 2003). These researchers reported that time spent watching TV was positively associated with risk of obesity and type 2 diabetes. Each two-hour-a-day increment in watching TV was associated with a 23% increase in obesity and a 14% increase in risk of diabetes. As with heart disease, a comprehensive approach to social and environmental factors, including weight reduction is suggested. Specific dietary modifications are suggested in the next section, “Interventions to Address Obesity.”
Munsell MF, Sprague BL, Berry DA, Chisholm G, Trentham-Dietz A. Body mass index and breast cancer risk according to postmenopausal estrogen-progestin use and hormone receptor status. Epidemiologic Reviews 2014; 36:114-136.
Addressing the high rates of overweight and obesity within the baby boomers generation should be a policy priority. As this generation moves towards old age the significant associations between body mass index and chronic disease and disability promise to increase demand upon an already pressurized health system.
It’s important to ensure that your senior nutrition is well-rounded, and that you understand when weight loss might be appropriate, and when weight loss might indicate a decline in health your elderly loved one.
Obesity also affects cognition, which includes the way we process information, memory, comprehension, problem solving and decisions. These functions are known to deteriorate with age and studies show that they deteriorate more rapidly in the population affected by obesity. Since proper cognition help the elderly live fuller and more independent lives, this effect of obesity is more relevant than ever with older age.
“Baby boomers who are not obese and younger generations are going to have to foot the trillions of dollars in health care costs for the millions of unhealthy boomers,” Slome explains.  “Healthy boomers approaching retirement have very little time left to develop a plan so they are not left depending on already strapped government programs or forced to deplete whatever retirement savings they managed to squirrel away.”
As designed, body weight and fat mass (FM) decreased significantly in the intervention group. Fat free mass (FFM) decreased in both groups but the difference was not statistically significant. Physical performance test score, peak oxygen consumption, and functional status all significantly improved in the diet and exercise group. Increases in strength were equal to or greater than reported in earlier trials in non-obese older adults completing a similar exercise program (Binder 2002; Villareal 2003; Villareal 2004). The investigators stressed that it was not difficult to change the behavior of these older sedentary adults, showing that it was a feasible intervention, which also provided important social interactions that enhanced compliance.
The study also found that a significant proportion of baby boomers who are not obese are overweight.  Health experts note that if baby boomers continue with present levels of weight and physical inactivity, they are going to become expensive.  “Experts know their medical costs due to obesity-related illnesses and conditions will grow,” Slome explains.  
Obesity is one of the most pervasive, chronic diseases in need of new strategies for medical treatment and prevention. As a leading cause of United States mortality, morbidity, disability, healthcare utilization and healthcare costs, the high prevalence of obesity continues to strain the United States healthcare system.
In an article published in JAMA (Journal of the American Medical Association), the authors said they found that regions in the brain that regulate appetite became active when people consumed glucose, but remained inactive when they ingested fructose. When those regions become active, they release hormones that produce feelings of satiety (fullness) – in other words, the hormones tell you to stop eating.
An initial step in detecting liver damage is a simple blood test to determine the presence of certain liver enzymes in the blood. Under normal circumstances, these enzymes reside within the cells of the liver. But when the liver is injured, these enzymes are spilled into the blood stream, and can lead to diseases like fatty liver, type 2 diabetes, obesity, and hepatitis. Several medications also can increase liver enzyme test results.
Obesity is a serious, chronic disease that can have a negative effect on many systems in your body. People who are overweight or obese have a much greater risk of developing serious conditions, including:
potentially abused by patients. While most of the immediate side-effects of these drugs are harmless, the long-term effects of these drugs, in many cases, are unknown. Two drugs, dexfenfluramine hydrochloride (Redux) and fenfluramine (Pondimin) as well as a combination fenfluramine-phentermine (Fen/Phen) drug, were taken off the market when they were shown to cause potentially fatal heart defects. In November 1997, the United States Food and Drug Administration (FDA) approved a new weight-loss drug, sibutramine (Meridia). Available only with a doctor’s prescription, Meridia can significantly elevate blood pressure and cause dry mouth, headache, constipation, and insomnia. This medication should not be used by patients with a history of congestive heart failure, heart disease, stroke, or uncontrolled high blood pressure.
Where you carry the extra weight is also important. People who carry extra weight around their waist may be more likely to experience health problems caused by obesity than those who carry it in their legs and thighs.
The research revealed that over a third (36 percent) of U.S. baby boomers are obese.  The study found that only a quarter (25 percent) of  the two generations directly above and below boomers are obese.
The third paper, Shah et al. (2011), focused on bone loss measuring C-terminal telopeptide of type I collagen (CTX) as a marker of bone resorption, and osteocalcin and N-terminal propeptide of type I procollagen as a markers of bone formation. Bone-active hormones, serum estradiol, IGF-1, 25-hydroxyvitamin D, and serum PTH concentration were also obtained. Serum C-terminal telopeptide (CTX) and osteocalcin increased in the diet group, with bone resorption increasing more than bone formation. Both of these markers decreased in the exercise and control groups. Osteocalcin did not change with the combination of diet and exercise. Serum leptin and estradiol concentrations decreased more markedly in diet plus exercise than in diet alone (−38% and −13%, respectively). It was suggested that the decrease in leptin with weight loss could stimulate the receptor activator of NF-κB ligand and the receptor activator of NF-κB pathway leading to increased bone resorption and bone loss (Burguera 2001; Thomas 2002). There was no decrease in IGF-1 with weight loss and this was attributed to adequate protein intake during weight loss. Change in mechanical stress was cited as the mechanism behind BMD loss in the hip, but not in the spine or whole body. The most important finding was that in these obese older adults supplemented with calcium and vitamin D, exercise training added to weight loss offset increased bone turnover and loss of BMD. This was supported by changes in lean body mass, 1RM strength and osteocalcin, the only variables that remained in the final regression model predicting the changes in hip BMD, suggesting that exercise countered the unloading effect of weight loss on BMD.
n a type of obesity characterized by the enlarged size of fat cells within the body. An increased distribution of weight in the waist region is a typical indicator of this type of obesity. It is associated with an increased risk of hypertension, diabetes, and other metabolic disorders.

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Children with obesity are at higher risk of having other chronic health conditions and diseases that influence physical health. These include asthma, sleep apnea, bone and joint problems, type 2 diabetes, and risk factors for heart disease.19-21
It is important to understand what “healthy weight” means. Healthy weight is defined as a body mass index (BMI) equal to or greater than 19 and less than 25 among all people 20 years of age or over. Generally, obesity is defined as a body mass index (BMI) equal to or greater than 30, which approximates 30 pounds of excess weight.
The weight-loss program should be directed toward a slow, steady weight loss unless your doctor feels your health condition would benefit from more rapid weight loss. Expect to lose only about a pound a week after the first week or two. With many calorie-restricted diets there is an initial rapid weight loss during the first one to two weeks, but this loss is largely fluid.
One of the most serious health risks of obesity is cancer. Overweight women have increased risk of developing cancer of the uterus, gallbladder, cervix, ovary, breast, and colon. Overweight men are at higher risk for developing cancer of the colon, rectum, and prostate. One effective way to reduce the risks of these kinds of cancers is to lose weight through diet, exercise, a medical weight-loss program, or bariatric surgery.
It is well known that obesity contributes to health problems such as diabetes and heart disease. In addition, obese individuals may suffer from hypertension, arthritis and other conditions that make movement difficult or painful. However, according to the Mayo Clinic, even modest increase in activity can help people lose weight, and yoga provides modified routines that can be a significant part of that process. According to a 2005 study published in the journal “Alternative Therapies in Health and Medicine,” yoga practice resulted in weight loss most strongly in study subjects who were overweight.
Osteoarthritis is a common joint condition that most often affects the knee, hip, and lower back joints. Carrying extra pounds places extra pressure on these joints and wear away the cartilage (tissue that cushions the joints) that normally protects them.
Tamura Y, Tanaka Y, Sato F, Choi JB, Watada H, Niwa M, Kinoshita J, Ooka A, Kumashiro N, Igarashi Y, Kyogoku S, Maehara T, Kawasumi M, Hirose T, Kawamori R. Effects of diet and exercise on muscle and liver intracellular lipid contents and insulin sensitivity in type 2 diabetic patients. J Clin Endocrinol Metab. 2005;90:3191–3196. [PubMed]
“It used to be thought that older patients don’t respond to treatment for obesity as well as younger patients,” Kahan says. “People assume that they couldn’t exercise as much or for whatever reason they couldn’t stick to diets as well. But we’ve disproven that.”
Gastric bypass surgery—helps you lose weight by changing how your stomach and small intestine handle the food you eat. After the surgery, you will not be able to eat as much as before, and your body will not absorb all the calories and other nutrients from the food you eat.
Abstract Human beings are susceptible to sustained weight gain in the modern environment. Although both men and women can get fat, they get fat in different ways, and suffer different consequences. We review differences between men and women in the incidence of obesity,
Hi Susan, thank you for bringing this up! There are many drug-nutrient interactions that are not mentioned here. It’s a good practice to ask your doctor or pharmacist about any interactions with medications you are taking. There are also some good resources out there on the topic. Here is one: Food Medication Interactions 18th Edition.
Talking to your health care openly and honestly about your weight concerns is one of the best things you can do for your health. In some cases, you may be referred to an obesity specialist — if one is available in your area. You may also be referred to a behavioral counselor, dietitian or nutrition specialist.
Most people have tried numerous diets without success. The dieting results in the dreaded “yo-yo” syndrome. The “yo-yo” syndrome begins when you start a diet, lose some weight, go off the diet and then gain back all of the weight you lost, sometimes even more weight. Over time it becomes more and more difficult to lose even a few pounds, despite severe caloric reduction.
Fat Fast Shrinking Signal Diet-Recipes Arms immediately let people know “I’m fit!” or “I haven’t lifted more than a tub of ice cream in months.” To make it worse, your arms have to be ready for their close-up pretty much year-round. Get gorgeous toned arms with this 3 minute exercise and have confidence to show off your Do This One Unusual 10-Minute Trick Before Work To Melt Away 15+ Pounds of Belly Fat
In the past few years the number of older adults who are obese has doubled, with more than 15% of the older adult population now classified as obese. More specifically, it is estimated that the prevalence of obesity in adults ages 50 to 69 is 22.9%; for adults over age 70, the obesity rate is 15%.
Medical weight management programs and bariatric surgery may be recommended to reverse these life-altering and life-threatening health conditions and to help your adolescent get started on the path to lifelong health.
Monitor your weight regularly. People who weigh themselves at least once a week are more successful in keeping off excess pounds. Monitoring your weight can tell you whether your efforts are working and can help you detect small weight gains before they become big problems.
Gordon theorizes that the gut community in obese mice has certain “job vacancies” for microbes that perform key roles in maintaining a healthy body weight and normal metabolism. His studies, as well as those by other researchers, offer enticing clues about what those roles might be. Compared with the thin mice, for example, Gordon’s fat mice had higher levels in their blood and muscles of substances known as branched-chain amino acids and acylcarnitines. Both these chemicals are typically elevated in people with obesity and type 2 diabetes.
[3] Ten leading causes of death and injury, 2009. Centers for Disease Control and Prevention. Web-based Injury Statistics Query and Reporting System (WISQARS). 2011. http://www.cdc.gov/injury/wisqars/LeadingCauses.html.
On April 24, 2017, a 28-year-old-man met an 11-year-old girl in a park in Montmagny, just north of Paris, after which, he took her home where he had oral and vaginal sex with her. When it was over, the girl called her mother and described what had happened, and her mother called the police. “She thought … that she didn’t have the right to protest, that it wouldn’t make any difference,” the mother told Mediapart, a French investigative site which first reported on the allegations of the case. The accusations were of an adult raping a child—a crime that, in France, can lead to a 20-year prison sentence for the perpetrator when the victim is 15 or younger.
As sure as Jesus’s words proved prescient about the adoption of Christianity in the empire that killed him, so too the modern-day legend of King writes itself in real time. In the official story told to children, King’s assassination is the transformational tragedy in a victorious struggle to overcome.
For children and adolescents (younger than 20 years of age), overweight and obesity are based on the Centers for Disease Control and Prevention’s (CDC’s) BMI-for-age growth charts, which are available at http://www.cdc.gov/growthcharts/clinical_charts.htm:
It is important to make a solid commitment to changing a behavior or lifestyle. Involve your family and/or friends and ask them to help you make the necessary changes to positively impact your health.
Gastric sleeve. In this procedure, part of the stomach is removed, creating a smaller reservoir for food. It’s a less complicated surgery than gastric bypass or biliopancreatic diversion with duodenal switch.
Increased physical activity or exercise is an essential part of obesity treatment. Most people who are able to maintain their weight loss for more than a year get regular exercise, even simply walking.
Television food shows routinely feature revered chefs tossing around references to healthy eating, “wellness,” and farm-fresh ingredients, all the while spooning lard, cream, and sugar over everything in sight. (A study published last year in the British Medical Journal found that the recipes in the books of top TV chefs call for “significantly more” fat per portion than what’s contained in ready-to-eat supermarket meals.) Corporate wellness programs, one of the most promising avenues for getting the population to adopt healthy behaviors, are falling prey to this way of thinking as well. Last November, I attended a stress-management seminar for employees of a giant consulting company, and listened to a high-powered professional wellness coach tell the crowded room that it’s okay to eat anything as long as its plant or animal origins aren’t obscured by processing. Thus, she explained, potato chips are perfectly healthy, because they plainly come from potatoes, but Cheetos will make you sick and fat, because what plant or animal is a Cheeto? (For the record, typical potato chips and Cheetos have about equally nightmarish amounts of fat calories per ounce; Cheetos have fewer carbs, though more salt.)
Moyer VA; U.S. Preventive Services Task Force. Screening for and management of obesity in adults: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med. 2012;157(5):373-378. PMID: 22733087 www.ncbi.nlm.nih.gov/pubmed/22733087.
Everyone needs a goal and positive reasons to achieve that goal. Even losing a few pounds can provide you with cardiovascular benefits, so every step in the right direction is a step toward healthier living. Consider these reasons to work toward maintaining a healthy weight.
The study adds to evidence that while Americans are living longer these days, they may be living sicker. The 2012 America’s Health Rankings reported upticks in risk factors that drive chronic diseases, such as obesity and inactivity.
Obesity is associated with a modest risk for developing rheumatoid arthritis (RA). Given the rapidly increasing prevalence of obesity, this has had a significant impact on RA incidence and may account for much of the recent increase in the incidence of RA.A
Some research shows that obese people are less likely to be hired for a job and are less likely to be promoted.[196] Obese people are also paid less than their non-obese counterparts for an equivalent job; obese women on average make 6% less and obese men make 3% less.[212]
Inactivity. If you’re not very active, you don’t burn as many calories. With a sedentary lifestyle, you can easily take in more calories every day than you use through exercise and normal daily activities.
Sugar drinks are the largest source of added sugar in the diets of children and adolescents. Increasing consumption of these high caloric beverages that offer little or no nutrients is associated with the increasing rates of childhood obesity.

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Vagal blockade involves surgically implanting a device that stimulates the abdominal vagal nerve, thereby sending signals to the brain that say you are full, which can reduce hunger. Short-term studies have shown modest weight loss (about 18 pounds). No long-term studies have been done yet, and some patients develop pain at the implantation site as well as nausea, vomiting, heartburn, and burping.
Weight-loss medication choices are more limited in older adults. This shortens the list of available medications for weight-loss. Side effects, existing medical conditions and interactions with other medications are the major barriers in prescribing weight-loss medications in the elderly. Bariatric surgery is being increasingly considered in older adults as well. The existing medical problems, surgical risk and benefits from the surgery need to be closely analyzed by the medical team and discussed with the patient to ensure an optimal decision and a satisfactory outcome.
The healthy BMI range varies with the age and sex of the child. Obesity in children and adolescents is defined as a BMI greater than the 95th percentile.[23] The reference data that these percentiles are based on is from 1963 to 1994 and thus has not been affected by the recent increases in rates of obesity.[24] Childhood obesity has reached epidemic proportions in the 21st century, with rising rates in both the developed and the developing world. Rates of obesity in Canadian boys have increased from 11% in the 1980s to over 30% in the 1990s, while during this same time period rates increased from 4 to 14% in Brazilian children.[227]
You can use a measurement called a body mass index, or BMI, along with your waist size , to decide whether your weight is dangerous to your health. The BMI is a combination of your height and weight. If you have a BMI of 30 or higher, unhealthy eating patterns, and too little physical activity, your extra weight is putting your health in danger.
Oct. 31, 2013 — As growing numbers of America’s baby boomers reach retirement, neuroscientists are expanding their efforts to understand treat one of the leading health issues affecting this population: … read more
Excess food portions. Americans are surrounded by huge food portions in restaurants, fast food outlets, gas stations, movie theaters, supermarkets, and even home. Eating large portions means too much energy IN. Over time, this will cause weight gain if it isn’t balanced with physical activity.
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While there are other measures of obesity, including abdominal fat and waist circumference, researchers generally define it according to body mass index, or BMI. The BMI formula divides an individual’s weight by the square of height, then multiplies the result by 703. The math is not without controversy: Some health experts charge that for people with large muscle mass, the calculations may unfairly skew them into overweight or obese categories.
Diabetes: About 9 percent of adults worldwide have diabetes, according to the World Health Organization (WHO). In the U.S., more than 30 million people have diabetes and more than 86 million have pre-diabetes, according to the American Diabetes Association.
Senior citizens can’t hit the gym and run for hours like their younger counterparts — at least, not without serious risk of injury. Aim for 30 to 60 minutes a day of moderate-intensity physical activity, but start slowly if you haven’t been active in a few years. If 30 to 60 minutes seems like too much, break it into 10-minute increments. Choose low-impact activities such as walking and swimming to protect your aging joints. If you’re at a risk of falling, engage in balance training at least three days a week; potential activities include backward or sideways walking, toe walking or tai chi, advises the Centers for Disease Control and Prevention.
A critically ill person that has to stay in the Intensive Care Unit would burn muscle during the disease process much more than expected regardless of the degree of obesity. This is a very interesting study area for many scientists interested in nutrition. In addition, even if not very severe, any illness resulting in unplanned weight-loss will decrease muscle mass. Therefore, it is important to pay close attention to rehabilitation and proper nutrition during and after an illness, especially in the elderly that already have lesser muscle reserves.
The prevalence of overweight and obesity is increasing globally and is an established risk factor for cardiovascular disease (CVD). Our objective was to evaluate the impact of overweight and obesity on life expectancy and years lived with and without CVD in older adults.
Frimel TN, Sinacore DR, Villareal DT. Exercise attenuates the weight- loss-induced reduction in muscle mass in frail obese older adults. Med Sci Sports Exerc. 2008;40:1213–1219. [PMC free article] [PubMed]
Usually, periodic attacks of headaches on one or both sides of the head. These may be accompanied by nausea, vomiting, increased sensitivity of the eyes to light (photophobia), increased sensitivity to sound (phonophobia), dizziness, blurred vision, cognitive disturbances, and other symptoms. Some migraines do not include headache, and migraines may or may not be preceded by an aura.
Diabetes – Obesity is the major cause of type 2 diabetes. This type of diabetes usually begins in adulthood but, is now actually occurring in children. Obesity can cause resistance to insulin, the hormone that regulates blood sugar. When obesity causes insulin resistance, the blood sugar becomes elevated. Even moderate obesity dramatically increases the risk of diabetes.
With the onset of the Industrial Revolution it was realized that the military and economic might of nations were dependent on both the body size and strength of their soldiers and workers.[94] Increasing the average body mass index from what is now considered underweight to what is now the normal range played a significant role in the development of industrialized societies.[94] Height and weight thus both increased through the 19th century in the developed world. During the 20th century, as populations reached their genetic potential for height, weight began increasing much more than height, resulting in obesity.[94] In the 1950s increasing wealth in the developed world decreased child mortality, but as body weight increased heart and kidney disease became more common.[94][195] During this time period, insurance companies realized the connection between weight and life expectancy and increased premiums for the obese.[2]
SOURCES: Adams, K. New England Journal of Medicine, Aug. 24, 2006; vol 355: pp 763-778. Michael F. Leitzmann, MD, investigator, Nutritional Epidemiology Branch, National Cancer Institute, Bethesda, Md. JoAnn Manson, MD, DrPH, chief of preventive medicine, Brigham and Women’s Hospital; professor of medicine, Harvard Medical School, Boston.
Obesity treatment must acknowledge that even modest weight loss can be beneficial. For example, a modest weight loss of 5%-10% of the initial weight, and long-term maintenance of that weight loss can bring significant health gains, including
Feed fats to beat the fat. As you decrease the amount of carbs, you can add a little more fat in the dog’s diet. Dietary fat is not the adipose tissue fat, and it does not make your dog (or you) gain extra layers of bodyfat. However, remember that fat in itself is higher in calories than carbs or protein, so only a small increase (if any) should be considered.
Jump up ^ Sharifi-Mollayousefi A, Yazdchi-Marandi M, Ayramlou H, Heidari P, Salavati A, Zarrintan S, Sharifi-Mollayousefi A (February 2008). “Assessment of body mass index and hand anthropometric measurements as independent risk factors for carpal tunnel syndrome”. Folia Morphol. (Warsz). 67 (1): 36–42. PMID 18335412.
Clinical trials are part of clinical research and at the heart of all medical advances. Clinical trials look at new ways to prevent, detect, or treat disease. Researchers also use clinical trials to look at other aspects of care, such as improving the quality of life for people with chronic illnesses. Find out if clinical trials are right for you.
Nearly 70 percent of adults over age 60 are overweight or obese, putting them at higher risk of diabetes and other diseases, according to a new study published in the Journal of the American Medical Association.
Let’s go shopping. We can start at Whole Foods Market, a critical link in the wholesome-eating food chain. There are three Whole Foods stores within 15 minutes of my house—we’re big on real food in the suburbs west of Boston. Here at the largest of the three, I can choose from more than 21 types of tofu, 62 bins of organic grains and legumes, and 42 different salad greens.
“We want to address the problem head-on,” he said. “Obesity creates incredible public health problems. We want to make BMI another vital sign, like blood pressure. Even if you’re just coming in because you have a cold, your BMI will be measured and tracked.
Numerous dietary supplements that promise to help you shed weight quickly are available. The effectiveness, particularly the long-term effectiveness, and safety of these products are often questionable.
Jump up ^ Brownson RC, Boehmer TK, Luke DA (2005). “Declining rates of physical activity in the United States: what are the contributors?”. Annu Rev Public Health (Review). 26: 421–43. doi:10.1146/annurev.publhealth.26.021304.144437. PMID 15760296.
It is important to understand what “healthy weight” means. Healthy weight is defined as a body mass index (BMI) equal to or greater than 19 and less than 25 among all people 20 years of age or over. Generally, obesity is defined as a body mass index (BMI) equal to or greater than 30, which approximates 30 pounds of excess weight.
Walking is a great starting point for people who are elderly and overweight or obese. It’s gentler on the joints because it’s low impact and is equally as effective as a workout. “For burning calories and weight control, that’s just as valuable as going for runs or going to the gym,” says Dr. Cheskin. What matters most is how long you go for and how far, not how fast. If you go for a walk, even at a leisurely pace, you will still burn a good amount of calories, explains Dr. Cheskin.
The convenience of home-delivered meals makes them a great option to help people stay in their own home, for a longer period of time. When you are spending less time preparing meals, this allows seniors to stay socially engaged and more active on a daily basis. Senior nutrition is vital to increase quality of life and maintain health in older adults.
Moyer VA; U.S. Preventive Services Task Force. Screening for and management of obesity in adults: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med. 2012;157(5):373-378. PMID: 22733087 www.ncbi.nlm.nih.gov/pubmed/22733087.
Stage 2: You have an obesity-related chronic disease, such as high blood pressure, type 2 diabetes, sleep apnea, or osteoarthritis, and you have moderate problems doing daily activities or feeling well.
(CBS/AP) Baby boomers fear dying from cancer, or losing their memory from Alzheimer’s as they age. What they should be worrying about is their growing waist lines, as the generation’s obesity problem can cause serious health risks and take a toll on the U.S. healthcare system in the not-so-distant future.
The percentage of children and adolescents who are overweight or obese has also increased (3). In 2011–2014, an estimated 9% of 2- to 5-year-olds, 17% of 6- to 11-year-olds, and 20% of 12- to 19-year-olds were overweight or obese. In 1988–1994, those figures were only 7%, 11%, and 10%, respectively. In 2011–2014, about 17% of U.S. youth ages 2 to 19 years old were obese. In 1988–1994, by contrast, only about 10% of 2 to 19-year old were obese (4).

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The loss of weight and lack of nutrition associated with a chronic illness is referred to as cachexia. Unexplained, unintentional weight loss is often a result of illness and should be evaluated by a health-care professional.
Updated August 31, 2017: According to the most recent data, adult obesity rates now exceed 35 percent in five states, 30 percent in 25 states, and 25 percent in 46 states. West Virginia has the highest adult obesity rate at 37.7 percent and Colorado has the lowest at 22.3 percent. The adult obesity rate decreased in Kansas between 2015 and 2016, increased in Colorado, Minnesota, Washington, and West Virginia, and remained stable in the rest of states. This supports trends that have shown overall leveling off of obesity rates in recent years.
© 2004-2018 All rights reserved. MNT is the registered trade mark of Healthline Media. Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a healthcare professional.
Cancer: Obesity can increase your risk for certaincancers such as colon, endometrial, breast, and gallbladder. Obese and overweight women have two to four times the risk of developing endometrial cancer, regardless of their menopausal status.
Well, it depends. Weight-loss that is not planned is not uncommon. The elderly are often sicker and need longer periods of time to recover from illness than younger adults. This often results in weight-loss. This type of weight-loss is not healthy. A significant portion of weight lost during illness is muscle loss.
Of course, this is a tip for anyone trying to lose weight and boost her overall health, but it’s especially important as we get older. That’s because as we age, the hypothalamus (which controls our hunger and thirst) becomes desensitized, dulling our thirst signals, says Matt Essex, founder of ActiveRx Aging Centers in Arizona. “Plus, many older people avoid drinking water so they can avoid running to the bathroom constantly,” adds Christen Cooper, RD, a dietitian in Pleasantville, NY. “This is especially true for men with prostate issues and women with bladder limitations.” (If you’re dealing with bladder issues, here’s help.) Since water is key for digestion and metabolism—and our bodies can easily mistake thirst for hunger, which causes us to eat more than we actually need—it’s important to make sure you’re getting enough. You might set an alarm on your phone at regular intervals so you’re reminded to keep sipping throughout the day.
In 2016, an estimated 41 million children under the age of 5 years were overweight or obese. Once considered a high-income country problem, overweight and obesity are now on the rise in low- and middle-income countries, particularly in urban settings. In Africa, the number of overweight children under 5 has increased by nearly 50 per cent since 2000. Nearly half of the children under 5 who were overweight or obese in 2016 lived in Asia.
Our model is designed to provide comfort, practical fitness, small group training and healthy, everyday meals. The goal is to provide a lifestyle you can replicate and maintain after you return home – without spending exorbitant amounts of money.
The most effective treatment for obesity is bariatric surgery.[6] The types of procedures include laparoscopic adjustable gastric banding, Roux-en-Y gastric bypass, vertical-sleeve gastrectomy, and biliopancreatic diversion.[173] Surgery for severe obesity is associated with long-term weight loss, improvement obesity related conditions,[177] and decreased overall mortality. One study found a weight loss of between 14% and 25% (depending on the type of procedure performed) at 10 years, and a 29% reduction in all cause mortality when compared to standard weight loss measures.[178] Complications occur in about 17% of cases and reoperation is needed in 7% of cases.[177] Due to its cost and risks, researchers are searching for other effective yet less invasive treatments including devices that occupy space in the stomach.[179]
The linchpin of the initiative is a new labeling system that requires packaged food companies to prominently display black warning logos in the shape of a stop sign on items high in sugar, salt, calories or saturated fat.
Jump up ^ Shick SM, Wing RR, Klem ML, McGuire MT, Hill JO, Seagle H (April 1998). “Persons successful at long-term weight loss and maintenance continue to consume a low-energy, low-fat diet”. J Am Diet Assoc. 98 (4): 408–13. doi:10.1016/S0002-8223(98)00093-5. PMID 9550162.
Jump up ^ Oreopoulos A, Padwal R, Kalantar-Zadeh K, Fonarow GC, Norris CM, McAlister FA (July 2008). “Body mass index and mortality in heart failure: A meta-analysis”. Am. Heart J. (Meta-analysis, Review). 156 (1): 13–22. doi:10.1016/j.ahj.2008.02.014. PMID 18585492.
It’s important to know where one stands with their weight, as it is extremely relevant not only for the treatment, but also for the prevention of many chronic diseases. As we discussed so far, just screening for overweight or obesity isn’t a simple task, and obesity can be missed or overestimated in the elderly population even more so than in younger adults.
“From a nutritional perspective, starting at age 30, our metabolic rate (meaning the calories we need) declines by 10 percent per decade,” explains Roberts. It comes down to the number of calories consumed versus the number of calories burned. Remember: You don’t want to break down lean body mass; you only want to burn stored body fat.
Another area of investigation is the role of insulin receptor signaling in cancer. Many cancer cells express elevated levels of IR-A, a form of the insulin receptor that has a high affinity for insulin and related growth factors. Researchers are investigating how these factors contribute to metabolic disease and cancer and which may be useful targets for therapeutic interventions to prevent obesity-related cancers.
Many cultures throughout history have viewed obesity as the result of a character flaw. The obesus or fat character in Ancient Greek comedy was a glutton and figure of mockery. During Christian times the food was viewed as a gateway to the sins of sloth and lust.[15] In modern Western culture, excess weight is often regarded as unattractive, and obesity is commonly associated with various negative stereotypes. People of all ages can face social stigmatization, and may be targeted by bullies or shunned by their peers.[196]
Jump up ^ Ostbye T, Dement JM, Krause KM (2007). “Obesity and workers’ compensation: Results from the Duke Health and Safety Surveillance System”. Arch. Intern. Med. (Research Support). 167 (8): 766–73. doi:10.1001/archinte.167.8.766. PMID 17452538.
To lose weight, seniors should implement a nutritious diet that include more fruits and vegetables. Consuming calcium, vitamins, protein rich foods like whole grains, whole wheat, cereals, lentils and eggs release the energy required for any physical activity. Senior weight loss is possible and can be achieved with a nutritious diet and regular work out.
Weight loss surgery can help people lose large amounts of weight. But it’s not right for everyone, and it does have risks. You won’t be able to eat like you used to, you might need to take vitamins to meet your nutritional needs, and you’ll need to work on diet and exercise to keep up the results.
Jump up ^ Great Britain Parliament House of Commons Health Committee (May 2004). Obesity – Volume 1 – HCP 23-I, Third Report of session 2003–04. Report, together with formal minutes. London: TSO (The Stationery Office). ISBN 978-0-215-01737-6. Retrieved 2007-12-17.
Just wanted to say thank you for your ebook of exercises for seniors. Lots of free things offered on the web are worthless. Your ebook has inspired me and helped me to begin an exercise program that I’ve been able to stick with. Thank you for making this resource available.”
The report notes that the number of Americans ages 65 and older is on course to more than double from 46 million today to over 98 million by 2060, while the 65-and-older age group’s share of the total population will rise to nearly 24 percent from 15 percent.
33. Koster A, Patel KV, Visser M, van Eijk JT, Kanaya AM, de Rekeneire N, Newman AB, Tylavsky FA, Kritchevsky SB, Harris TB: Health, Aging and Body Composition Study. Joint effects of adiposity and physical activity on incident mobility limitation in older adults. J Am Geriatr Soc 2008; 56: 636– 643 [PubMed]
In the cases of making the stomach smaller, vertically banded gastroplasty is the most common procedure, where the esophagus is banded early in the stomach. The other procedure is gastric banding, where an inflatable pouch causes gastric constriction. Changing the volume in the ring that encircles the stomach can change the amount of constriction. Gastric bypass essentially causes weight loss by bypassing the stomach.

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Television food shows routinely feature revered chefs tossing around references to healthy eating, “wellness,” and farm-fresh ingredients, all the while spooning lard, cream, and sugar over everything in sight. (A study published last year in the British Medical Journal found that the recipes in the books of top TV chefs call for “significantly more” fat per portion than what’s contained in ready-to-eat supermarket meals.) Corporate wellness programs, one of the most promising avenues for getting the population to adopt healthy behaviors, are falling prey to this way of thinking as well. Last November, I attended a stress-management seminar for employees of a giant consulting company, and listened to a high-powered professional wellness coach tell the crowded room that it’s okay to eat anything as long as its plant or animal origins aren’t obscured by processing. Thus, she explained, potato chips are perfectly healthy, because they plainly come from potatoes, but Cheetos will make you sick and fat, because what plant or animal is a Cheeto? (For the record, typical potato chips and Cheetos have about equally nightmarish amounts of fat calories per ounce; Cheetos have fewer carbs, though more salt.)
For example, today’s regular staff may have trouble helping and lifting obese residents, and often do not know how to use the specialized equipment. Overweight patients confined to their beds also require staff to reposition the resident’s body so that bed sores are not developed. Unfortunately it also takes more staff members to aid an obese patient than a regular patient, and this additional care costs money and little business sense for communities.
The weight-loss program should be directed toward a slow, steady weight loss unless your doctor feels your health condition would benefit from more rapid weight loss. Expect to lose only about a pound a week after the first week or two. With many calorie-restricted diets there is an initial rapid weight loss during the first one to two weeks, but this loss is largely fluid.
Remember, these health benefits can occur independently (with or without) achieving weight loss. Before starting an exercise program, talk to a doctor about the type and intensity of the exercise program.
Overweight and obesity is highly prevalent in some racial and ethnic minority groups. Rates of obesity in American adults are highest in blacks, followed by Hispanics, then whites. This is true for men or women. While Asian men and women have the lowest rates of unhealthy BMIs, they may have high amounts of unhealthy fat in the abdomen. Samoans may be at risk for overweight and obesity because they may carry a DNA variant that is associated with increased BMI but not with common obesity-related complications.
Recent research has shown that obesity rates have doubled among adults and tripled among children in the U.S., and researchers say more study is needed to understand how these trends will affect life expectancy and obesity-related diseases like diabetes and heart disease.
The physical examination can aid in evaluating concerns prompted by history findings. Body weight without shoes should be assessed on a clinic scale. Evaluation of the oral cavity and dentition may indicate difficulty with chewing or swallowing. Heart, lung, gastrointestinal, and neurologic examinations evaluate for illnesses contributing to or causing weight loss.
The amount of vitamin B-6 you need increases as you get older. You need 1.7 milligrams daily if you are male and 1.5 milligrams if you are female. Eat chicken, fish, potatoes and fruit to meet your vitamin B-6 needs.
Older people have to be careful when they implement a weight-loss plan. They key is to focus on what kind of weight you want to reduce. An article in The Online Journal of Issues in Nursing stated it’s important to hone in on minimizing muscle and bone loss.
The thrifty gene hypothesis postulates that, due to dietary scarcity during human evolution, people are prone to obesity. Their ability to take advantage of rare periods of abundance by storing energy as fat would be advantageous during times of varying food availability, and individuals with greater adipose reserves would be more likely to survive famine. This tendency to store fat, however, would be maladaptive in societies with stable food supplies.[126] This theory has received various criticisms, and other evolutionarily-based theories such as the drifty gene hypothesis and the thrifty phenotype hypothesis have also been proposed.[127][128]
32. Levine JA, Lanningham-Foster LM, McCrady SK, Krizan AC, Olson LR, Kane PH, Jensem MD, Clark MM: Interindividual variation in posture allocation: possible role in human obesity. Science 2005; 28:307: 584– 586 [PubMed]
According to the U.S. National Library of Medicine, about 13% of adults experience unintentional or involuntary weight loss. Problematic weight loss can be defined as a loss of 5% of body weight in one month or 10% over a period of six months or longer. For example, if you weighed 126 pounds at the beginning of the month and 118 pounds at the end of the month, you would have experienced over a 6% weight loss within a month, which could be problematic weight loss. Involuntary weight loss may be associated with chronic conditions and could result in functional decline, ulcers and worsening cognitive disorders. According to the Mayo Clinic, malnutrition in older adults can result in
“The growth in the older population is fundamentally a success story from a public health perspective—new advances in medicine and living standards have led to longer life expectancies,” says Mark Mather, associate vice president for U.S. programs at PRB and principal author of the new report.
Fewer studies have examined possible associations between weight loss and cancer risk. Some of these have found decreased risks of breast, endometrial, colon, and prostate cancers among people who have lost weight. However, most of these studies were not able to evaluate whether the weight loss was intentional or unintentional (and possibly related to underlying health problems).
Among recent studies, researchers at the University of Washington School of Medicine found that a combination of diet and exercise was the most effective method for obese seniors to improve their physical performance. Dieting alone could improve a senior’s physical performance by 12%, while exercise alone could bring a 15% improvement. And according to Science Daily, a combination of dieting and exercise yielded a 21% improvement.
In many respects, the wholesome-food movement veers awfully close to religion. To repeat: there is no hard evidence to back any health-risk claims about processed food—evidence, say, of the caliber of several studies by the Centers for Disease Control and Prevention that have traced food poisoning to raw milk, a product championed by some circles of the wholesome-food movement. “Until I hear evidence to the contrary, I think it’s reasonable to include processed food in your diet,” says Robert Kushner, a physician and nutritionist and a professor at Northwestern University’s medical school, where he is the clinical director of the Comprehensive Center on Obesity.
In this way, wholesome-food advocates have managed to pre-damn the very steps we need the food industry to take, placing the industry in a no-win situation: If it maintains the status quo, then we need to stay away because its food is loaded with fat and sugar. But if it tries to moderate these ingredients, then it is deceiving us with nutritionism. Pollan explicitly counsels avoiding foods containing more than five ingredients, or any hard-to-pronounce or unfamiliar ingredients. This rule eliminates almost anything the industry could do to produce healthier foods that retain mass appeal—most of us wouldn’t get past xanthan gum—and that’s perfectly in keeping with his intention.
Focus. Stay focused on your goals. Overcoming obesity is an ongoing process. Stay motivated by keeping your goals in mind. Remind yourself that you’re responsible for managing your condition and working toward your goals.

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Overweight and obesity is highly prevalent in some racial and ethnic minority groups. Rates of obesity in American adults are highest in blacks, followed by Hispanics, then whites. This is true for men or women. While Asian men and women have the lowest rates of unhealthy BMIs, they may have high amounts of unhealthy fat in the abdomen. Samoans may be at risk for overweight and obesity because they may carry a DNA variant that is associated with increased BMI but not with common obesity-related complications.
Some use dieting alone as a means of weight reduction. Unfortunately the success rate for using diet alone is not very good. This means that in the long term, weight that was lost through dietary restrictions is often regained plus some.
The International Size Acceptance Association (ISAA) is a non-governmental organization (NGO) which was founded in 1997. It has more of a global orientation and describes its mission as promoting size acceptance and helping to end weight-based discrimination.[224] These groups often argue for the recognition of obesity as a disability under the US Americans With Disabilities Act (ADA). The American legal system, however, has decided that the potential public health costs exceed the benefits of extending this anti-discrimination law to cover obesity.[221]
Other measurements that reflect the distribution of body fat—that is, whether more fat is carried around the hips or the abdomen—are increasingly being used along with BMI as indicators of obesity and disease risks. These measurements include waist circumference and the waist-to-hip ratio (the waist circumference divided by the hip circumference).
Barrington WE, Schenk JM, Etzioni R, et al. Difference in association of obesity with prostate cancer risk between US African American and non-Hispanic white men in the Selenium and Vitamin E Cancer Prevention Trial (SELECT). JAMA Oncology 2015; 1(3):342-349.
While not a dramatic increase in percentage terms, she described the trend as meaningful in terms of numbers of people. The 1 percent increase represents about 365,000 more people who are having difficulty or who are unable to carry out basic personal care activities and daily tasks central to living independently, she calculated.
Villareal DT, Apovian CM, Kushner RF, Klein S. Obesity in older adults: technical review and position statement of the American Society for Nutrition and NAASO, The Obesity Society. Am J Clin Nutr. 2005;82:923–934. [PubMed]
No matter which fast-food chain you visit, high-fat and high-calorie breakfast choices abound. But healthier fast-food menu options do exist. See some of the best and worst foods at several major chains.
While assisted living and nursing homes may be qualified to care for elderly residents who suffer from all kinds of age-related issues such as bathing, dressing, health conditions like Alzheimer’s or diabetes, meals and medication; obese residents require a plethora of additional care and education for nurses, physicians and staff.
Jump up ^ Diercks DB, Roe MT, Mulgund J, Pollack CV, Kirk JD, Gibler WB, Ohman EM, Smith SC, Boden WE, Peterson ED (July 2006). “The obesity paradox in non-ST-segment elevation acute coronary syndromes: Results from the Can Rapid risk stratification of Unstable angina patients Suppress ADverse outcomes with Early implementation of the American College of Cardiology/American Heart Association Guidelines Quality Improvement Initiative”. Am Heart J (Research Support). 152 (1): 140–48. doi:10.1016/j.ahj.2005.09.024. PMID 16824844.
To be sure, weight loss for seniors can present complications. Losing muscle mass can reduce strength and hurt balance. The Washington University researchers found that lean body mass and bone mass slightly declined when seniors dropped weight, according to Science Daily. The researchers found dieting seniors lost 5% of lean body mass and, at the critical hip area, 3% bone mass density, the report noted. (5)
Bogers RP, Bemelmans WJ, Hoogenveen RT, et al. Association of overweight with increased risk of coronary heart disease partly independent of blood pressure and cholesterol levels: a meta-analysis of 21 cohort studies including more than 300,000 persons.Arch Intern Med. 2007; 167:17208.
Even if you have a genetic predisposition towards obesity, it doesn’t mean you’re destined to become obese. Your lifestyle choices can have a profound effect on your weight and health. Follow these tips to give yourself the best chance of good health.
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3. Gilmore SA, Robinson G, Posthauer ME, et al. Clinical indicators associated with unintentional weight loss and pressure ulcers in elderly residents of nursing facilities. J Am Diet Assoc 1995;95:984–92 [PubMed]
Sex: Men have more muscle than women, on average. Because muscle burns more calories than other types of tissue, men use more calories than women, even at rest. Thus, women are more likely than men to gain weight with the same calorie intake.
A condition in women characterized by irregular or no menstrual periods, acne, obesity, and excess hair growth. PCOS is a disorder of chronically abnormal ovarian function and hyperandrogenism (abnormally elevated androgen levels).
Obesity is a complex disorder involving an excessive amount of body fat. Obesity isn’t just a cosmetic concern. It increases your risk of diseases and health problems, such as heart disease, diabetes and high blood pressure.
A recent study indicated that central assessed by several anthropometric indicators, is associated with the presence of erectile dysfunction in men >60 years, but not in younger men (42). Although age appeared to be the major determinant of erectile dysfunction in NHANES, obesity had an independent contributory effect, increasing the odds ratio for impotence by 1.6 (43). In a cross-sectional analysis of men >50 years of age in the U.S. Health Professionals’ Study, obesity independent of other confounding factors increased the risk of erectile dysfunction by 30% (44).
“He said this was the most important time of my life, and he needed to be there for it,” she says. “I told him that it is just a wedding and weddings can be rescheduled.” Her father’s response: “I’m fine, honey.”
Soda, juice and other sweet beverages are full of sugar, which are empty calories. Eliminating these culprits from your diet can be a one step process to losing a few pounds. In addition to weight loss, cutting out refined sugar as much as possible is a healthy choice for people of all ages.
In an article published in JAMA (Journal of the American Medical Association), the authors said they found that regions in the brain that regulate appetite became active when people consumed glucose, but remained inactive when they ingested fructose. When those regions become active, they release hormones that produce feelings of satiety (fullness) – in other words, the hormones tell you to stop eating.
I’m a fan of many of Mark Bittman’s recipes. I shop at Whole Foods all the time. And I eat like many wholesome foodies, except I try to stay away from those many wholesome ingredients and dishes that are high in fat and problem carbs. What’s left are vegetables, fruits, legumes, whole grains, poultry, and fish (none of them fried, thank you), which are often emphasized by many wholesome-food fans. In general, I find that the more-natural versions of these ingredients taste at least a bit better, and occasionally much better, than the industrialized versions. And despite the wholesome-food movement’s frequent and inexcusable obliviousness to the obesogenicity of many of its own foods, it deserves credit for paying more attention to those healthier ingredients than does Big Food.
^ Jump up to: a b c d Poulain M, Doucet M, Major GC, Drapeau V, Sériès F, Boulet LP, Tremblay A, Maltais F (April 2006). “The effect of obesity on chronic respiratory diseases: pathophysiology and therapeutic strategies”. CMAJ. 174 (9): 1293–99. doi:10.1503/cmaj.051299. PMC 1435949 . PMID 16636330.
There are many factors associated with unintentional weight loss. Assessment of unintentional weight loss should start with a comprehensive history, including questions about associated factors, and a physical examination. Investigations should be guided by the findings of the history and physical examination. Both nutritional and pharmacologic interventions have proven so far to be of only limited value. Although treatment remains a challenge, clinicians should attempt to identify and address factors that may be contributing to the weight loss.
Researchers at the University of Adelaide have confirmed that if current trends continue, Australia’s Generation X will overtake Baby Boomers for poor health, including rates of obesity and diabetes, which could have huge implications for healthcare and the workforce.
This study is investigating a behavioral weight-loss program and new care program for adults who have been diagnosed with obesity and depression. This study uses conventional medical care and modern technologies, including web, secure email, and mobile texting, to offer more individualized patient care. Visit Research Aimed at Improving Both Mood and Weight for more information and to learn how to participate in this study.
Drinking water should be obvious, but many people of all ages drink less than they should and are dehydrated on a regular basis. Older people are at an especially high risk of being hospitalized due to dehydration. Carrying a water bottle wherever you go and knowing how many full bottles you should drink per day is a good way to start paying attention to your water intake.
This report issues a call for urgent action to combat the growing epidemic of obesity, which now affects developing and industrialized countries alike. Adopting a public health approach, the report responds to both the enormity of health problems associated with
Department of Geographical and Environmental Studies, Geographical Information Systems, University of Adelaide, Level 4, 230 North Terrace, Adelaide, SA 5000, Australia. Electronic address:jennifer.buckley@adelaide.edu.au.
Although there are genetic, behavioral and hormonal influences on body weight, obesity occurs when you take in more calories than you burn through exercise and normal daily activities. Your body stores these excess calories as fat.
If a person’s bodyweight is at least 20% higher than it should be, he or she is considered obese. If your Body Mass Index (BMI) is between 25 and 29.9 you are considered overweight. If your BMI is 30 or over you are considered obese. If you’re wondering what your ideal weight might be, take a look at our article, how much should I weigh?
Jump up ^ Goodman E, Adler NE, Daniels SR, Morrison JA, Slap GB, Dolan LM (2003). “Impact of objective and subjective social status on obesity in a biracial cohort of adolescents”. Obesity Reviews (Research Support). 11 (8): 1018–26. doi:10.1038/oby.2003.140. PMID 12917508.
The answers to these questions may reveal important clues about the cat’s weight loss. For example, in some households, pets compete for food, and underfeeding results. Clients may feed a weight-loss diet and continue it even after an optimal weight has been achieved. An arthritic or visually impaired cat may not be able to make it to food bowls that are difficult to access, such as on a countertop or in a dark basement. And an inability to smell food, the administration of certain medications, or a systemic illness can result in a decreased appetite, even in cats being fed a high-quality, palatable food.
Jump up ^ Albuquerque, David; Nóbrega, Clévio; Manco, Licínio; Padez, Cristina (7 July 2017). “The contribution of genetics and environment to obesity”. British Medical Bulletin. Advance articles: 1–15. doi:10.1093/bmb/ldx022.

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For the past year, President Trump has worked with the Republican Congress to dismantle crucial parts of Obama’s legacy, including affordable health care, progressive taxation, climate-change regulation, oversight of the financial system, and immigration reform. Discussions of Medicare and Medicaid cuts surfacing in recent weeks suggest that an effort to roll back Lyndon Johnson’s Great Society might be next.
Aging baby boomers are smoking and drinking less, but overweight and obesity are on the rise, according to a new report from the U.S. Census Bureau. That’s especially concerning when you consider the many other diseases and disabilities—including arthritis, type 2 diabetes, heart disease, and hindered mobility—that can come with excess body weight.
Researchers now know more about visceral fat, which is deep in the abdomen of overweight and obese patients. Visceral fat releases factors that promote inflammation. Chronic obesity-related inflammation is thought to lead to insulin  resistance and diabetes, changes in the liver or non-alcoholic fatty acid liver disease, and cancers. More research is needed to understand what triggers inflammation in some obese patients and to find new treatments.
The McLean Deluxe was a sharp lesson to the industry, even if in some ways it merely confirmed what generations of parents have well known: if you want to turn off otherwise eager eaters to a dish, tell them it’s good for them. Recent studies suggest that calorie counts placed on menus have a negligible effect on food choices, and that the less-health-conscious might even use the information to steer clear of low-calorie fare—perhaps assuming that it tastes worse and is less satisfying, and that it’s worse value for their money. The result is a sense in the food industry that if it is going to sell healthier versions of its foods to the general public—and not just to that minority already sold on healthier eating—it is going to have to do it in a relatively sneaky way, emphasizing the taste appeal and not the health benefits. “People expect something to taste worse if they believe it’s healthy,” says Charles Spence, an Oxford University neuroscientist who specializes in how the brain perceives food. “And that expectation affects how it tastes to them, so it actually does taste worse.”
Their results showed that people born between 1966 and 1985 became obese at a much faster rate than people born in previous generations. Researchers found that 20% of people born in 1966-1985 were obese by 20-29 years of age. That prevalence of obesity was not reached until ages 50-59 for people born in 1926-1935 and until ages 40-49 for people born a decade later.
A prospective trial in four long-term care facilities examined the role of megestrol acetate and optimal feeding assistance.21 For 63 days, megestrol (400 mg/d) was given to 17 residents who were eating less than 75% of most meals. They received either usual care or optimal feeding assistance. Results suggest that megestrol in combination with optimal mealtime feeding assistance significantly increased oral intake in frail long-term care residents but was not effective under usual care conditions.
Fona and Tic, like most companies in their industry, won’t identify customers or product names on the record. But both firms showed me an array of foods and beverages that were under construction, so to speak, in the name of reducing calories, fat, and sugar while maintaining mass appeal. I’ve long hated the taste of low-fat dressing—I gave up on it a few years ago and just use vinegar—but Tic served me an in-development version of a low-fat salad dressing that was better than any I’ve ever had. Dozens of companies are doing similar work, as are the big food-ingredient manufacturers, such as ConAgra, whose products are in 97 percent of American homes, and whose whole-wheat flour is what McDonald’s is relying on for its breakfast sandwiches. Domino Foods, the sugar manufacturer, now sells a low-calorie combination of sugar and the nonsugar sweetener stevia that has been engineered by a flavor company to mask the sort of nonsugary tastes driving many consumers away from diet beverages and the like. “Stevia has a licorice note we were able to have taken out,” explains Domino Foods CEO Brian O’Malley.
As designed, body weight and fat mass (FM) decreased significantly in the intervention group. Fat free mass (FFM) decreased in both groups but the difference was not statistically significant. Physical performance test score, peak oxygen consumption, and functional status all significantly improved in the diet and exercise group. Increases in strength were equal to or greater than reported in earlier trials in non-obese older adults completing a similar exercise program (Binder 2002; Villareal 2003; Villareal 2004). The investigators stressed that it was not difficult to change the behavior of these older sedentary adults, showing that it was a feasible intervention, which also provided important social interactions that enhanced compliance.
Association between obesity and stroke in advanced age has been inconsistent and may be sex-related. The Canadian Cardiovascular Health study did not find obesity to be a predisposing factor for stroke in older subjects (21). Conversely, the Honolulu Heart Program, which over a 22-year period prospectively followed up a cohort of 1,163 nonsmoking men aged 55–68 years, found that the rate of thromboembolic stroke rose significantly with increasing levels of BMI (22). In subjects from the Framingham Offspring Study aged 50–81 years, the 10-year population attributable risk of stroke was greater for the metabolic syndrome than for diabetes, particularly in women (27 vs. 5%), owing to its greater prevalence of the metabolic syndrome in the general population (23). Obesity did not affect stroke rates in Korean men (24). A Spanish stroke registry of 2,000 consecutive stroke patients identified obesity as one significant predictor of stroke in women (mean age 75 years), but not in men (25). A similar identification of obesity as a risk factor for atherothrombotic brain infarction in older female but not male subjects was also reported by Aronow et al. (26). In a post hoc analysis of the Systolic Hypertension in the Elderly (SHEP) trial, the lowest BMI quintile was associated with increased occurrence of stroke rather than obesity (27), but after introduction of control of multiple confounders, the relation of BMI to death or stroke rate in the placebo group became insignificant. Overall, we interpret this mixed outcome of the attempt to clarify whether obesity is a contributor to the etiology of stroke in the elderly as a simple reflection of the dominant roles of hypertension, including obesity-related hypertension, as well as adiposity-related diabetes in this setting.
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For women, a waist circumference over 35 inches (88 cm) along with a body mass index of 25 or more (“overweight” classification) places you at a high risk for obesity health problems.  If your waist is over 35 inches, the higher your BMI, the higher your risks.
While there are other measures of obesity, including abdominal fat and waist circumference, researchers generally define it according to body mass index, or BMI. The BMI formula divides an individual’s weight by the square of height, then multiplies the result by 703. The math is not without controversy: Some health experts charge that for people with large muscle mass, the calculations may unfairly skew them into overweight or obese categories.
As many as 85% of dieters who do not exercise on a regular basis regain their lost weight within two years. In five years, the figure rises to 90%. Repeatedly losing and regaining weight (yo yo dieting) encourages the body to store fat and may increase a patient’s risk of developing heart disease. The primary factor in achieving and maintaining weight loss is a life-long commitment to regular exercise and sensible eating habits.
Type 2 diabetes has doubled in the U.S. in the past 15 years, and is highest among adults over age 65, according to the Centers for Disease Control and Prevention. And diabetes is a well known risk factor in heart disease, kidney disease, stroke and other serious medical conditions.
Although the negative impact of high BMI on the risk of death from all-cause mortality is now well established, there is an apparent decline in the relative added risk of obesity with increasing age (1,2). This has led some experts to conclude that obesity should not necessarily be viewed as a disease in individuals older than 55 years. If such shift in the approach to adiposity during the latter phases of life is prematurely accepted, it may not only discourage attempted weight loss in older subjects, but also promote nutritional and lifestyle indulgence, which is presently difficult enough to overcome. It is the purpose of the present commentary to briefly outline the full spectrum of obesity-related hardships in the elderly. In our opinion, obesity-induced complications amount to real disease, which gravely affects quality of life and limits effective lifespan.
In addition to this study, research published in the journal Nature Communications in 2015 suggests that weight loss is harder when we carry more fat. The scientists suggest that the more fat we carry, the more our bodies appear to produce a protein that blocks our ability to burn fat.
Another great source for senior nutrition and weight loss is the National Institute of Health’s article, entitled Healthy Eating after 50, which provides answers to questions like, “How much food should I eat?” and “Should I cut back on salt or fat?” This article provides two optional meal plan ideas, and a guide for water, a guide for increasing fiber intake, and what to do if your senior is having problems with food intake.
In other words, most of our life-threatening health problems are associated with excess weight. Shedding those extra pounds will not only help you look good, more importantly, it will help prevent serious medical conditions.
In Sacramento, 56 percent of obese baby boomers have high blood pressure, the UCLA figures show, compared with 23 percent of boomers with a normal body weight. More than one-fifth of obese baby boomers in the region have diabetes. Forty percent suffer from arthritis: Not surprisingly, the number of boomers using assistive devices, such as canes and walkers, is on the rise, as well. Almost 20 percent of obese boomers can’t work due to disability.
For people with obesity, weight loss based solely on lifestyle changes can be very difficult to achieve and even more challenging to maintain. Supporting strategies, such as obesity medications, can be important tools for effectively treating obesity in some individuals. Given the complex nature of the disease, no single drug is likely to fix the epidemic. Additional research and development efforts are needed for obesity treatments – as there are more than 100 drugs available for related diseases, like hypertension, but only 6 medications approved for the long-term treatment of obesity.
Obesity is from the Latin obesitas, which means “stout, fat, or plump”. Ēsus is the past participle of edere (to eat), with ob (over) added to it.[188] The Oxford English Dictionary documents its first usage in 1611 by Randle Cotgrave.[189]
Unintentional weight loss of more than 4% in a year appears to be an independent predictor of increased mortality (relative risk [RR] 2.43, 95% CI 1.34–4.41).4 In a prospective study of 41 836 women, conducted in the United States as part of the Iowa Women’s Health Study, one or more episodes of unintentional weight loss of more than 20 pounds during adulthood was associated with a 46%–57% higher rate of death.29 A prospective study of 4869 male patients older than 65 years from general practices in 24 towns across the United Kingdom found that unintentional weight loss was associated with higher mortality risk only among those with cancer (adjusted relative risk [ARR] 1.71, 95% CI 1.33–2.19) after adjustment for lifestyle characteristics and pre-existing disease.30 A retrospective chart review of 148 long-term care residents residing in the southeastern United States found that those who lost 5% or more of their body weight within one month were 4.6 times more likely to die within one year.31
Are food choices flexible and well-suited to the individual? Are weight goals set by the client and the health professional? The program should consider your food likes and dislikes and your lifestyle when your weight-loss goals are planned.
Baby Boomers now is the time to address this critical issue. We must deal with this NOW if we are to continue to serve are parents and not be a burden on our children. Even as important is our of life and our ability to continue to be self-sufficient.
The first step to reaching your ideal weight is knowing what that weight is. You may feel too heavy or to thin but actually be at a healthy weight. One way to compare your weight to your height is through the body mass index, or BMI. BMI may be used to screen for health problems, according to the Centers for Disease Control and Prevention (CDC), but it is not a health diagnostic.
One small case–control study (three publications) compared 14 patients who had anorexia with 10 control patients.14–16 The patients with anorexia had a median age of 78 (standard deviation [SD] 8) years and BMI of 18.4 (SD 0.6) kg/m2 in the absence of any organic or mental disorders. Data from the control group were collected retrospectively by reviewing 24 hospital records of persons over 65 years of age in whom a lumbar puncture had been performed to rule out a meningeal syndrome. The 10 patients in the control group were selected because they were nonsmokers and had a normal body weight (i.e., within 10% of their ideal body weight). The study primarily focused on examining the changes in anthropometric parameters, amino acids, neuropeptides and cytokine levels associated with anorexia. Of the 14 anorectic patients, five received treatment with megestrol acetate (480 mg/day) for six months. There were no changes in anthropometric parameters with treatment. The only significant changes in laboratory parameters were an increase in plasma transferrin level (p < 0.05) and an increase in CSF β-endorphin levels (p < 0.05). Here’s “the tell it like it is” projection for Medicare costs. Medicare spending is projected to grow four times faster between now and 2024 than it grew between 2010 and 2014. Medicare spending is projected to grow almost a full percentage faster than our country’s economy. Anne Roberson walks a quarter-mile down the road each day to her mailbox in the farming town of Exeter, deep in California's Central Valley. Her daily walk and housekeeping chores are her only exercise, and her weight has remained stubbornly over 200 pounds for some time now. Roberson is 68 years old, and she says it gets harder to lose weight as you get older: "You get to a certain point in your life and you say, 'What's the use?' " More recently, investigators conducted a systematic review of 89 studies on weight-related diseases and then did a statistical summary, or meta-analysis, of the data. Of the 18 weight-related diseases they studied, diabetes was at the top of the risk list: Compared with men and women in the normal weight range (BMI lower than 25), men with BMIs of 30 or higher had a sevenfold higher risk of developing type 2 diabetes, and women with BMIs of 30 or higher had a 12-fold higher risk. (4) 23. Najarian RM, Sullivan LM, Kannel WB, Wilson PW, D'Agostino RB, Wolf PA: Metabolic syndrome compared with type 2 diabetes mellitus as a risk factor for stroke: the Framingham Offspring Study. Arch Intern Med 2006; 166: 106– 111 [PubMed] While genetic influences are important to understanding obesity, they cannot explain the current dramatic increase seen within specific countries or globally.[132] Though it is accepted that energy consumption in excess of energy expenditure leads to obesity on an individual basis, the cause of the shifts in these two factors on the societal scale is much debated. There are a number of theories as to the cause but most believe it is a combination of various factors. The baby-boomer weight crisis is rapidly moving past their burden of buying plus-size clothing. Modern medicine will keep them alive longer than previous generations even with their increased need for care due to their weight gain. Their increased health care cost will push America into a debt crisis. One driver will be paying for extended medical care to medicate the life choices made by the boomer generation. The second driver will be the increased gross amounts the boomer generation will be paid from Social Security by living longer. ^ Jump up to: a b Flegal KM, Ogden CL, Wei R, Kuczmarski RL, Johnson CL (June 2001). "Prevalence of overweight in US children: comparison of US growth charts from the Centers for Disease Control and Prevention with other reference values for body mass index". Am. J. Clin. Nutr. 73 (6): 1086–93. PMID 11382664. Too much fat causes inflammation that can damage cells. Obesity is also linked to several types of cancers. It can also make your body respond less well to insulin, which controls your blood sugar. Over time, that can lead to type 2 diabetes. [redirect url='https://betahosts.com/bump' sec='7']